Electronic Commerce

Electronic Claim Filing

What is the fastest way to receive claim payment from an insurance company? Electronic Funds Transfer (EFT). Now hospitals, physicians, and other providers that submit 60 percent of their Blue Cross and Blue Shield of New Mexico (BCBSNM) claims electronically for the last 90 days can receive their payments via EFT. Learn more about Electronic Claim Filing.

THIN (The Health Information Network)

THIN, an electronic claims clearinghouse and information network, is available to all providers in the health care community. THIN allows physicians, hospitals, and other health care providers to file patient claims electronically to multiple health insurance payers and government programs through one claims clearinghouse. In addition to claims filing, providers can use the network to determine benefits and eligibility, to receive electronic remittances, and to track the progress of their claims.

HealthXNet

HealthxNet is an internet-deployed software application, which provides on-line access to member information from multiple New Mexico health plans. Participating hospitals and physicians can use HealthxNet to verify current information on patient eligibility, claims status, and pre-authorization or referral status. Other information, such as benefit summaries or prescription drug formularies, is also available. BCBSNM and HMONM providers who are members of HealthxNet can log in to HealthxNet and view information.

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